Yankho la matenda omwe khoma la mtima limakula: Tiyeni tikambirane za opaleshoni ya Septal Myectomy

Kodi nthawi zina mumamva kuti mukuvutika kupuma, mumamva ngati chifuwa chanu chikuchepa, kapena mumamva kukomoka mukakwera masitepe kapena kuchita chinthu chomwe chimafuna khama pang'ono? Pakhoza kukhala zifukwa zambiri za zizindikirozi. Chimodzi mwa zifukwa zazikulu ndi kukhuthala kwa minofu ya mtima. M'mawu azachipatala, timatcha izi 'Hypertrophic Cardiomyopathy'. Chifukwa chake, pamene vutoli limakhala lovuta kulithetsa ndi mankhwala, pali opaleshoni yapadera yomwe madokotala amalangiza. Lero tikulankhula za opaleshoni yotchedwa 'Septal Myectomy'.

Mwachidule, kodi kukhuthala kwa khoma la mtima kumatanthauza chiyani?

Mtima wathu ndi chiwalo chodabwitsa kwambiri. Uli ngati nyumba yaying'ono yokhala ndi zipinda zinayi. Pali zipinda ziwiri zapamwamba (atria) ndi zipinda ziwiri zapansi (zipinda). Zipinda ziwiri zazikulu pansi pa izi, ndiko kuti, zipinda zamanja ndi zamanzere, zimalekanitsidwa ndi khoma lolimba pakati. Khoma ili lopangidwa ndi minofu ndi lomwe timalitcha kuti 'septum' .

Mu matenda otchedwa 'Hypertrophic Cardiomyopathy', minofu yomwe ili mu septum iyi imakhuthala kwambiri. Tangoganizirani zomwe zingachitike ngati khoma lolekanitsa zipinda ziwiri m'nyumba mwanu litatupa mwadzidzidzi ndikukankhira chipinda chimodzi mkati. Ndicho chimene chikuchitika pano. Khoma lokhuthalali limakankhira mkati, makamaka mu ventricle yakumanzere, chipinda chachikulu chomwe chimapopera magazi kupita ku thupi.

Ndani akufunika opaleshoni ya Septal Myectomy?

Si aliyense amene ali ndi vutoli amene amafunika opaleshoni. Dokotala wanu ayamba kaye wayesa kuchepetsa zizindikiro ndi mankhwala. Komabe, nthawi zina opaleshoni ndiyo njira yabwino kwambiri yothetsera vutoli.

• Kwa iwo omwe sangathe kuletsa zizindikiro ndi mankhwala: Ngati zizindikiro monga kupweteka pachifuwa, kupuma movutikira, ndi chizungulire sizingathe kuthetsedwa ndi mankhwala, dokotala wanu angaganizire za opaleshoni iyi.
• Kwa iwo omwe ali ndi khoma la mtima lokhuthala kwambiri (septum): Ngakhale kuti anthu ena ali ndi zizindikiro zochepa, opaleshoniyi imalimbikitsidwa ngati septum ndi yokhuthala kwambiri ndipo imayambitsa kutsekeka kwakukulu kwa magazi.
• Kwa amayi omwe akuyembekezera kutenga mimba:Ngati mayi amene ali ndi vutoli akuyembekeza kutenga mimba, ngakhale zizindikiro zake sizili zazikulu kwambiri, opaleshoniyi nthawi zina imalangizidwa. Popeza kupanikizika kwa mtima kumawonjezeka panthawi ya mimba, ndi bwino kuchotsa kutsekeka kumeneku msanga.

Kodi muyenera kuchita chiyani musanachite opaleshoni?

Dokotala asanayambe opaleshoni, adzayesa kangapo kuti aone bwino vuto la mtima wanu. Palibe chodetsa nkhawa nacho. Izi zimachitika kuti apeze chidziwitso chonse chofunikira kuti opaleshoniyo ichitike bwino komanso mosamala momwe angathere.

Kuphatikiza apo, ngati mukumwa mankhwala aliwonse, monga mankhwala ochepetsa magazi , dokotala wanu adzakuuzani kuti musiye kuwamwa masiku angapo opaleshoni isanachitike.Ngati ndinu wosuta fodya, kusiya kusuta musanachite opaleshoni kudzakuthandizani kwambiri kuti muchiritse.

Kodi opaleshoniyi imachitidwa bwanji?

Iyi ndi opaleshoni ya mtima. Koma ndi ukadaulo wamakono, izi zimachitika bwino kwambiri komanso mosamala.

1. Mankhwala Oletsa Kupweteka: Choyamba, mudzapatsidwa mankhwala oletsa kupweteka kwathunthu. Izi zikutanthauza kuti simudzamva kupweteka kulikonse panthawi ya opaleshoni, ndipo mudzakhala mukugona tulo tofa nato.

2. Opaleshoni: Dokotala wa opaleshoni amacheka pakati pa chifuwa, kudzera m'fupa la pachifuwa (sternum) mbali zonse ziwiri, kuti afike pamtima.

3. Makina Ogwiritsira Ntchito Mtima ndi Mapapo: Kenako, mudzalumikizidwa ku 'makina ogwiritsira ntchito mtima ndi mapapo'. Makinawa adzagwira ntchito ya mtima ndi mapapo anu panthawi ya opaleshoni.

4. Kuchotsa minofu: Kenako, dokotalayo amadula mosamala ndikuchotsa minofu ya septum yomwe yakhuthala mosafunikira. Izi zimatsegulanso magazi omwe atsekedwa.

5. Mapeto: Kenako mwachotsedwa ku makina olumikizirana mtima ndi mapapo, sternum yanu imayikidwanso pamalo ena, ndipo chotupa cha pachifuwa chimatsekedwa ndi ma stitches osungunuka.

Opaleshoni yonseyi nthawi zambiri imatenga pafupifupi maola atatu kapena anayi .

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Mukachita opaleshoni, mudzalowetsedwa mwachindunji ku Intensive Care Unit (ICU). Kumeneko, madokotala ndi anamwino adzayang'anira bwino vuto lanu. Mungakhale ndi catheter ya mkodzo kapena njira yotulutsira madzi pachifuwa kwa tsiku limodzi kapena awiri, koma musadandaule nazo.

Pakatha masiku awiri, mothandizidwa ndi katswiri wa zamaganizo, muyenera kudzuka pabedi ndikuyamba kuyenda pang'ono. Anthu ambiri amakhala m'chipatala kwa masiku osakwana asanu . Ndizachibadwa kumva kutopa kwa kanthawi mukabwerera kunyumba. Mudzapezanso mphamvu zanu zabwinobwino patatha milungu ingapo.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino ndi zoopsa zazing'ono.

Zoopsazi sizigwira ntchito kwa aliyense. Makamaka, chiopsezochi chikhoza kuwonjezeka pang'ono mwa anthu omwe ali ndi matenda ena a mtima, osuta fodya, ndi omwe ali ndi zaka zoposa 65. Koma ponseponse, Septal Myectomy ndi opaleshoni yokhala ndi chiwopsezo chachikulu kwambiri (choposa 94%).

Kodi ndiyenera kupita kwa dokotala liti ndikachita opaleshoni?

Mukapita kunyumba, ndikofunikira kwambiri kuyimbira dokotala nthawi yomweyo ngati muwona zizindikiro zilizonse za mavuto.

• Mavuto okhudzana ndi bala: Ngati malo ozungulira bala la opaleshoni ndi ofiira kwambiri, otupa, kapena ofunda.
• Malungo: Ngati muli ndi malungo opitirira 38 Celsius (100.4 Fahrenheit) pa thermometer.
• Kulemera: Ngati kulemera kwanu kwawonjezeka mwadzidzidzi ndi makilogalamu oposa 2.5 (mapaundi 5) mkati mwa sabata imodzi (ichi chikhoza kukhala chizindikiro cha kusunga madzi m'thupi).

Ngati mukukumana ndi vuto lotere, musachite mantha, koma dziwitsani dokotala wanu nthawi yomweyo.